GUILDELINES

for
BLOOD PRESSURE,
RISK FACTORS,
LIFE SYLE MODIFICATION
ISSUED in 2003 BY
JOINT NATIONAL COMMITTEE
and
EUROPEAN SOCIETY of HYPERTENSION
In the interest of public

CATEGORY SYSTOLIC DIASTOLIC
NORMAL < 120 and < 80
PRE-
HYPERTENSION
120 139 or 80 89
HYPERTENSION
STAGE-I
140 - 159 or 90 99
STAGE-II > 160 - 179 or 100 - 109
STAGE-III > 180 or > 110
BLOOD PRESSURE
MAJOR RISK FACTORS TARGET ORGAN DAMAGE
BP
HEART
BRAIN
CHRONIC KIDNEY DISEASE
PERIPHERAL ARTERY DISEASE
CHANGES IN THE RETINA OF EYES
SMOKING
OBESITY
INACTIVITY
HIGH BLOOD LIPID
DIABETES
PROTEIN IN URINE
AGE : Men > 55, Women > 65
FAMILY HISTORY of
CARDIOVASCULAR DISEASE
RISK FACTORS
MODIFICATION RECOMMENDATION
WEIGHT REDUCTION Maintain normal body weight (BMI < 24.9)
DIETARY CHANGES
Increase fruits, vegetables, Reduce dairy fat
products, decrease total fat and saturated fat
LESS SALT INTAKE 2.4 gms Sodium or 6 gms of NaCl
PHYSICAL ACTIVITY
Engage in most of the days 30 minutes per
day aerobic activity (brisk walk)
MODERATE ALCOHOL
Limit alcohol drink to 720 ml beer / 30 ml wine
/ 60ml of whiskey per day
LIFE STYLE MODIFICATION
CATEGORY

BMI

UNDER WEIGHT < 20
NORMAL 20 24.9
OVER WEIGHT 25 29.9
OBESE 30 39.9
SEVERLY OBESE > 40
WHAT IS YOUR BMI ?
U must know your height and weight
HEIGHT
in cms
WEIGHT IN Kgs
50 55 60 65 70 75 80 85 90 95 100
152 21 23 26 28 30 32 35 36 39 41 43
155 21 23 25 27 29 31 33 35 37 39 42
157 20 22 24 26 28 30 33 35 37 39 41
160 20 21 23 25 27 29 31 33 35 37 39
162 19 21 23 25 27 29 31 33 34 36 38
165 18 20 22 24 26 28 29 31 33 35 37
167 18 20 22 24 25 27 29 31 32 34 36
170 17 19 21 23 24 26 28 29 31 33 35
172 17 19 20 22 24 25 27 29 31 33 34
175 16 18 20 22 23 25 26 28 29 31 33
177 16 18 19 21 22 24 26 28 29 31 32
180 15 17 18 20 21 23 25 27 28 30 31
BMI
SMOKING : choice is yours
With each cigarette : 4000 chemical compounds, 400 toxic substances,
Temp 700
0
C at tip, 60
o
C in core
Very damaging : Tar, Nicotin, Carbon-monoxide, Particulate matter
High risk in side stream smoke
1.7 TIMES MORE CARDIAC DEATHS
12 TIMES LIKELIHOOD OF DEVELOPING CANCER
2.5 TIMES HIGHER CANCER - MORE OF LUNGS, MOUTH, THROAT
9 OUT of 10 REQUIRING BYPASS OPERATION ARE SMOKER/EX-SMOKER
NICOTINE INCREASES THE AMOUNT OF CHOLESTEROL IN THE BLOOD, WHICH MAY
CAUSE THE ARTERIES TO CLOG UP.
HIGH BLOOD PRESSURE CAUSES HEART ATTACKS AND STROKE.
SMOKING CAUSES AN ACID TASTE IN THE MOUTH AND CONTRIBUTES TO THE
DEVELOPMENT OF ULCERS.
COUPLES WHO SMOKE HAVE FERTILITY PROBLEMS MORE THAN COUPLES WHO
ARE NON-SMOKERS.
SMOKERS HAVE 25 PER CENT MORE SICK DAYS YEAR THAN NON-SMOKERS.

SMOKING ALSO AFFECTS YOUR LOOKS: HAVE THICK & ROUGH SKIN.
ALCOHOL
CALORIE COUNT
Beer 500 ml 180
Rum 100 ml 220
Gin 100 ml 220
Whiskey 100 ml 220
Champagne 100 ml 126
Sherry 100 ml 110
Martini 100 ml 75
Bacardi 250 ml 118
HEALTH RISKS
Effects LIVER, PANCREASE, BRAIN, HEART
RISKS OF MANY CANCERS
BIRTH DEFECTS
A STANDARD DRINK IS :
1.5 ounce of WHISKEY, GIN, VODKA, RUM
12 ounce of BEER
5 ounce of WINE
U ARE AT RISK IF U DRINK MORE THAN -
14 drinks/week or 4 drinks at occasion
if U are more than 65 years
7 drinks/week or 3 drinks at occasion
GOOD FAIR POOR
CHOLESTEROL < 200 200 240 > 240
TRIGLYCERIDE < 150 150 - 200 > 200
HDLC > 45 36 - 45 < 35
LDLC < 100 100 145 > 145
CHOL : HDLC < 3.3 3.3 - 4.4 > 4.5
HDLC : LDLC < 0.5 0.5 - 3.0 > 3
LIPID PROFILE : Where U should be?
OIL :
What to use?


PUFA : Protects
the Heart

MUFA : Lowers the
blood Cholesterol

SFA : Increases
blood Cholesterol,
Triglycerides and
hardens blood
vessels leading to
BP/Heart attack/
Brain stroke.


OIL PUFA MUFA SFA
CANOLA OIL
61 33 4
KUSUMA OIL
75 14 10
SUNFLOWER OIL
72 16 12
SOYABEAN OIL
55 29 16
COTTON SEED OIL
50 19 29
MAIZE OIL
45 16 12
SEASAME OIL
42 38 20
GROUND NUT OIL
28 48 24
MUSTARD OIL
25 - 30
PALM OIL
10 39 51
VANASPATI OIL
6 18 76
DESIGHEE
4 - 28
COCONUT OIL
2 - 98
TIPS on EXERCISES
Must do regularly at least 5-6 days a week
Spend 30 minutes every time
Fix the schedule of performing exercise it has been proved by survey that
compliance is more when done in morning
Do not be on full meal take tea/biscuit/fruit
Perform 10 minutes of streching exercises and 20 minutes on brisk walk.
If you have any pain or discomfort consult your doctor
If U intend to print the matter remove black back ground first